UNITED KINGDOM SURVEY - 2018 SURVEY (WAVE 2) - Food Policy Study
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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY ACKNOWLEDGEMENTS FUNDING FOR THE INTERNATIONAL FOOD POLICY STUDY WAS PROVIDED BY A CANADIAN INSTITUTES OF HEALTH RESEARCH (CIHR) PROJECT GRANT, WITH ADDITIONAL SUPPORT FROM AN INTERNATIONAL HEALTH GRANT, THE PUBLIC HEALTH AGENCY OF CANADA (PHAC), AND A CIHR-PHAC APPLIED PUBLIC HEALTH CHAIR. THE STUDY HAS NO AFFILIATIONS WITH THE FOOD INDUSTRY AND THERE ARE NO CONFLICTS OF INTERESTS TO DECLARE. SUGGESTED CITATION HAMMOND D. INTERNATIONAL FOOD POLICY STUDY: UNITED KINGDOM SURVEY – 2018 SURVEY (WAVE 2). UNIVERSITY OF WATERLOO. MAY 2019. CONTACT DAVID HAMMOND PhD SCHOOL OF PUBLIC HEALTH & HEALTH SYSTEMS UNIVERSITY OF WATERLOO WATERLOO, ON CANADA N2L 3G1 DHAMMOND@UWATERLOO.CA WWW.DAVIDHAMMOND.CA 2
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY LIST OF MEASURES INTRODUCTION .................................................................................................................................... 7 SMARTPHONES 7 ELIGIBILITY INTRO 7 AGE 7 SEX AT BIRTH 7 INFO 7 CONSENT 7 DEMOGRAPHICS ................................................................................................................................... 8 PREAMBLE 8 GENDER 8 STUDENT STATUS 8 OCCUPATION 8 CHILDREN – ANY 8 CHILDREN IN HOME - NUMBER 9 CURRENT LIVING SITUATION 9 FOOD SOURCES .................................................................................................................................... 9 FOOD SOURCE – 9 EATING OUT FREQUENCY 9 FOOD SOURCE – PURCHASE LOCATIONS FOR FOOD PREPARED OUTSIDE THE HOME 10 FOOD SOURCE – PURCHASE FORMAT FOR FOOD PREPARED OUTSIDE THE HOME 10 FOOD SOURCE – FAST FOOD FREQUENCY 11 FOOD SOURCE – % PREPARED OUTSIDE HOME 11 FOOD SOURCE – AT HOME INTRO 11 FOOD SOURCE – PURCHASE LOCATIONS FOR FOOD PREPARED AT HOME 11 FOOD SOURCE – PURCHASE LOCATIONS FOR FOOD PREPARED AT HOME BY PERCENTAGE 12 READY-TO-EAT MEALS 12 BEVERAGE INTAKE ...............................................................................................................................13 BEVERAGE FREQUENCY INTRO 13 BEVERAGE FREQUENCY QUESTIONNAIRE (BFQ) – NUMBER OF DRINKS BY TYPE 13 BFQ – USUAL SIZE 14 FOOD PREPARATION AND FOOD SKILLS ...............................................................................................22 FOOD SHOPPING ROLE 22 CONFIDENCE IN 8 COOKING TECHNIQUES 22 CONFIDENCE IN COOKING 10 FOODS 23 ABILITY TO PREPARE 4 TYPES OF DISHES 23 FREQUENCY OF PREPARING MAIN MEALS 23 COOKING SKILLS – GENERAL 24 FOOD SECURITY ...................................................................................................................................24 FOOD SECURITY – INTRO 24 FOOD SECURITY – HH1 24 FOOD SECURITY – HH INTRO 24 FOOD SECURITY – HH2 24 FOOD SECURITY – HH3 24 FOOD SECURITY – HH4 25 FIRST LEVEL SCREENING 25 FOOD SECURITY – AD1 25 FOOD SECURITY – AD1a 25 FOOD SECURITY – AD2 25 FOOD SECURITY – AD3 25 3
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD SECURITY – AD4 25 SECOND LEVEL SCREENING 25 FOOD SECURITY – AD5 26 FOOD SECURITY – AD5a 26 CHILD LEVEL 1 SCREENING 26 FOOD SECURITY CHILD INTRO 26 FOOD SECURITY – CH1 26 FOOD SECURITY – CH2 26 FOOD SECURITY – CH3 26 CHILD LEVEL 2 SCREENING 26 FOOD SECURITY – CH4 27 FOOD SECURITY – CH5 27 FOOD SECURITY – CH5a 27 FOOD SECURITY – CH6 27 FOOD SECURITY – CH7 27 DIETARY PATTERNS AND EFFORTS .......................................................................................................28 EATING RESTRICTIONS 28 DIET MODIFICATION EFFORTS 28 WEIGHT LOSS EFFORTS, BODY PERCEPTIONS, AND WEIGHT STIGMA ....................................................29 PERCEIVED BODY SIZE 29 PERCEIVED WEIGHT 29 WEIGHT BEHAVIOUR 29 WEIGHT LOSS METHODS 30 EAT-3 BEHAVIOURAL ITEMS 30 EAT-3 ATTITUDINAL ITEM 31 WEIGHT BIAS 31 SUGARY DRINKS ..................................................................................................................................32 POP PERCEIVED HEALTHINESS 32 POP ACCEPTABLE FREQUENCY FOR CHILDREN 32 SSB PERCEPTIONS - CONDITION 33 SSB PERCEIVED HEALTHINESS 33 SSB ACCEPTABLE FREQUENCY FOR CHILDREN 33 SSB SUGAR AMOUNT 34 SSB DEFINITION 34 SSB SELF CONSUMPTION 34 SSB SOCIAL NORMS – Q1 34 SSB SOCIAL NORMS – Q2 34 SSB SOCIAL NORMS – Q3 34 SSB SOCIAL NORMS – Q4 35 PUBLIC TRUST 35 SUGAR ATTITUDES 35 SSB ATTITUDES 36 SUGAR KNOWLEDGE 36 NUTRITION KNOWLEDGE .....................................................................................................................37 SELF-REPORTED NUTRITION KNOWLEDGE 37 SOURCES OF NUTRITION INFORMATION ..............................................................................................37 SOURCES OF NUTRITION INFO 37 PUBLIC EDUCATON 38 PUBLIC EDUCATON – DESCRIPTION 38 DOCTOR ADVICE 38 4
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD PACKAGING & LABELLING ..........................................................................................................38 NUTRITION INFO IN GROCERY STORES 38 LABEL AWARENESS 39 LABEL USE 39 LABEL UNDERSTANDING 39 NFT AWARENESS 40 NFT USE 40 NFT UNDERSTANDING 41 NFT INFLUENCE 41 FOOD PRODUCTS – PERCEIVED HEALTH 42 WARNING LABELS 43 RETAIL ENVIRONMENT ........................................................................................................................44 SUPERMARKET POLICIES 44 HOME RETAIL 44 SCHOOL RETAIL 44 WORK RETAIL 44 MENU LABELLING ................................................................................................................................45 LAST RESTAURANT VISIT 45 MENU LABELLING – NOTICING 45 MENU LABELLING – NOTICING LOCATION 45 MENU LABELLING – ORDER 46 MENU LABELLING – IMPACT 46 FOOD GUIDE / DIETARY RECOMMENDATIONS .....................................................................................46 FOOD GUIDE – LAST USE 46 FOOD GUIDE – USE 46 FOOD MARKETING...............................................................................................................................47 EXPOSURE TO UNHEALTHY FOOD MARKETING - LOCATION 47 EXPOSURE TO MARKETING – SUGARY DRINKS 47 EXPOSURE TO UNHEALTHY FOOD MARKETING - FREQUENCY 48 EXPOSURE TO MARKETING STRATEGIES 48 CHILD ASK - MARKETING STRATEGIES 49 PARENT BUY- MARKETING STRATEGIES 49 UNHEALTHY FOOD CONSUMPTION FREQUENCY 49 CHILD – PRODUCTS 50 CHILD – TOY 50 CONCERN ABOUT CHILD’S EXPOSURE TO MARKETING 50 PRICE / TAXATION ...............................................................................................................................50 SUGAR TAX 50 SUGAR TAX - AWARENESS 51 SUGAR TAX - IMPACT 51 POLICY SUPPORT .................................................................................................................................52 POLICY SUPPORT 52 PERCEIVED EFFECTIVENESS OF FISCAL POLICIES – SUPPORT 53 PERCEIVED EFFECTIVENESS OF FISCAL POLICIES – EFFECTIVENESS 53 SUGARY DRINKS TAX – Q1 53 SUGARY DRINKS TAX – Q2 53 HEALTH LITERACY ................................................................................................................................54 GENERAL HEALTH STATUS ...................................................................................................................56 FRUIT CONSUMPTION 56 FRUIT JUICE CONSUMPTION 56 5
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY SALAD CONSUMPTION 57 FRIED POTATO CONSUMPTION 58 OTHER POTATO CONSUMPTION 58 OTHER VEGETABLE CONSUMPTION 59 GENERAL HEALTH 60 OVERALL DIET 60 MENTAL HEALTH 60 STRESS 60 OTHER HEALTH BEHAVIOURS ...............................................................................................................61 DATA QUALITY CHECK – MONTH 61 SMOKING – PAST 30 DAYS 61 MARIJUANA USE – FREQUENCY 61 MARIJUANA USE – DRIVEN 61 MARIJUANA USE – PASSENGER 62 ALCOHOL USE – FREQUENCY 62 ALCOHOL USE – BINGE DRINKING 62 SOCIODEMOGRAPHIC MEASURES ........................................................................................................63 ETHNICITY 63 COUNTRY OF BIRTH 63 HIGHEST EDUCATION 64 PERCEIVED INCOME ADEQUACY 64 SUBJECTIVE SOCIAL STATUS 65 REGION 66 POSTAL CODE 66 SELF-REPORTED HEIGHT 66 SELF-REPORTED HEIGHT CONFIRMATION 67 SELF-REPORTED HEIGHT CORRECTION 67 SELF-REPORTED WEIGHT 67 SELF-REPORTED WEIGHT CONFIRMATION 68 SELF-REPORTED WEIGHT CORRECTION 68 END SCREEN 69 REDIRECT TO NIELSEN 69 6
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY INTRODUCTION DOMAIN QUESTION SOURCE SMARTPHONES STOP HERE IF YOU ARE USING A SMARTPHONE! The survey will only work on a laptop, desktop computer or tablet. Do NOT click 'next' if you are using a smartphone: you will be locked out of the survey. Close your browser and reopen the link on a laptop, desktop computer or tablet. [If Smartphone: Sorry, you must be using a laptop, desktop computer, or tablet to take this survey. Thank you for your time. You will now be redirected back to the survey company. ELIGIBILITY INTRO Before you continue to the study information, we need to confirm your eligibility with a few short questions. AGE How old are you? [numeric] AGE [If
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY DEMOGRAPHICS DOMAIN QUESTION SOURCE PREAMBLE The first section of this survey includes questions about where you get food, the types of food you eat, the places you eat, and your background. GENDER What is your current gender identity? CIHR SUGGESTED Man METHOD (GRETA BAUER, WESTERN) Woman Trans male/trans man GENDER Trans female/trans woman GENDER_OTEXT Gender queer/gender non-conforming Different identity Please specify: [open-ended] Don’t know Refuse to answer STUDENT STATUS Are you currently a student? No STUDENT Yes, full-time Yes, part-time Don’t know Refuse to answer OCCUPATION What was your main activity in the past week? ADAPTED FROM CCHS Working at a paid job or business Vacation (from paid work) OCCUP OCCUP_OTEXT Looking for paid work Going to school/college/university (including vacation from school/college/university) Caring for children Household work Retired Maternity/paternity leave Long term illness Volunteering Caregiving other than for children Other (please specify):____________ Don’t know Refuse to answer CHILDREN – ANY Do you have any children (including step-children or adopted children)? Yes CHILD_ANY No Don’t know Refuse to answer 8
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY CHILDREN IN HOME - UNIVERSE: Respondents with children (child_any=yes) NUMBER How many of your children under the age of 18 live in your household (including step-children or adopted children)? BRFSS ADAPTED [dropdown with numbers up to 10] CHILD_HOME Don’t know Refuse to answer CHILDREN IN HOME – UNIVERSE: Respondents with at least 1 child 0) AGES Please enter the age[s] of your child[ren] who [is/are] under 18 that live[s] in your household, in years, in the box(es) below. Child 1: [numeric, decimal allowed] CHILD#_AGE Child 2: [numeric, decimal allowed] CHILD#_DKR Child #… [PROGRAMMER NOTE: add rows based on response to number of children living in household, up to 10 children] Don’t know Refuse to answer CURRENT LIVING [PROGRAMER NOTE: Only display “My child(ren) under the age of 18” if child_home>0. Only display “My child(ren) age 18 or older” if child_any=yes]. SITUATION What is your current living situation? I live with… (Select all that apply) My parent(s) / guardian(s) LIVE_PARENT LIVE_SPOUSE My partner / spouse LIVE_CHILD My child(ren) under the age of 18 LIVE_ADCHILD My child(ren) age 18 and older LIVE_RELATIVE Brother(s), sister(s) or other relative(s) LIVE_ROOM LIVE_SCHOOL People not related to me (flatmates or housemates) LIVE_ALONE I live in accommodation provided by my school, university or college LIVE_OTHER I live alone LIVE_DK LIVE_R Other Please specify: [open-ended] LIVE_OTEXT Don’t know Refuse to answer FOOD SOURCES DOMAIN QUESTION SOURCE FOOD SOURCE – Next I’m going to ask you about meals. By meal, I mean BREAKFAST, LUNCH AND EVENING MEALS. EATING OUT FREQUENCY NHANES adapted During the PAST 7 DAYS, how many meals did you get that were PREPARED AWAY FROM HOME in places such as restaurants, fast food or take-away places, food stands, or from vending machines? EATOUT Only include snacks if they counted as your meal. EATOUT_DKR Do NOT include today. Enter number: _________ meals [numeric 0-21] Don’t know Refuse to answer 9
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD SOURCE – UNIVERSE: Respondents who had at least 1 meal prepared away from home (eatout>0) PURCHASE LOCATIONS You said you had [#] meal(s) prepared outside the home in the past 7 days. FOR FOOD PREPARED OUTSIDE THE HOME How many of these meals did you get from each of the following locations? EATOUT_LOC1…9 EATOUT_LOC9_OTEXT # of meals EATOUT_LOC_DKR [numeric] Fast food / take-away / café (i.e., order from a counter, online, or by phone) [numeric] Sit-down restaurant or pub with a waiter/waitress [numeric] Work or school/university/college canteen (NOT including fast food chains) [numeric] Sandwich/Ready-meal from a supermarket [numeric] Burger, chip or kebab van / ‘street food’ [numeric] Convenience shop / corner shop / petrol station [numeric] Leisure centre, recreation, or entertainment venue [numeric] Vending machine [numeric] Some other kind of place (Please specify): Don't know Refuse to answer FOOD SOURCE – UNIVERSE: Respondents who had at least 1 meal prepared away from home (eatout>0) PURCHASE FORMAT FOR You said you had [#] meal(s) prepared outside the home in the past 7 days. FOOD PREPARED OUTSIDE THE HOME How many of those meals were… FROM_DELSERV FROM_DELDIRECT [numeric] Ordered using a food delivery service (e.g., UberEats, Just Eat, Deliveroo) and delivered to you FROM_NEAR [numeric] Ordered directly from a restaurant and delivered to you FROM_FAR [numeric] Purchased at a restaurant/food outlet within 5 minutes of your home (using your usual mode of transportation, e.g., walk, drive, or public FROM_DKR FROM_TS transport), excluding delivery [numeric] Purchased at a restaurant/food outlet more than 5 minutes away from your home (using your usual mode of transportation, e.g., walk, drive, or public transport), excluding delivery Don't know Refuse to answer 10
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD SOURCE – FAST UNIVERSE: Respondents who indicated they purchased any meals from a “Fast food / quick service / café” (eatout_loc1>0) FOOD FREQUENCY You told us you ate [#] meal(s) from FAST FOOD OR TAKE-AWAY RESTAURANT(S) in the past 7 days. FF_1… 11 FF_11_OTEXT How many of these meals did you get from each of the following types of fast food or take-away restaurants? FF_DKR # of meals [numeric] Café / Bakery (Pret a Manger, Starbucks, Costa, etc.) [numeric] Burger / chips (McDonald’s, Burger King, etc.) [numeric] Sandwich / sub (Subway, etc.) [numeric] Pizza (Dominos, etc.) [numeric] Fried chicken (KFC, Nando’s, etc.) [numeric] Fish and chips [numeric] Mexican (Chipotle, etc.) [numeric] Asian / International fast food (Indian, Chinese, kebab, shawarma, etc.) [numeric] Ice cream / frozen yogurt (Yoo-moo, ice-cream shop, etc.) [numeric] Fresh food / Smoothie bar [numeric] Some other kind of place Please specify: [open-ended] Don’t know Refuse to answer FOOD SOURCE – % Thinking about ALL THE FOOD YOU ATE during the past 7 days, INCLUDING SNACKS, what percentage was prepared outside the home? PREPARED OUTSIDE Enter percentage: _________ [numeric percentage, 0 to 100%] HOME EATOUT_PERC Don’t know EATOUT_PERC_DKR Refuse to answer FOOD SOURCE – AT We are now going to ask you about the food you ate during the past 7 days that was PREPARED AT HOME. HOME INTRO For example: If you made lunch at home and brought it to work or school, this would be "prepared at home". If your food came from home - even if it needed little or no preparation (e.g., an apple or crackers) - that counts as “prepared at home". Include food prepared by you or someone else at home. DO NOT include drinks. FOOD SOURCE – Please think about the food you ate that was PREPARED AT HOME DURING THE PAST 7 DAYS. Where was it PURCHASED? Select all that apply. PURCHASE LOCATIONS Supermarket FOR FOOD PREPARED AT HOME Cash & carry (e.g., Costco) Convenience / corner shop HS_1…6, HS_8…10 Pharmacy HS_DK Farmer’s market stall or greengrocer HS_R HS_10_OTEXT Ethnic or speciality food shop HS_none Supermarket delivery (e.g., Ocado) Food bank Some other place Please specify: [open-ended] I have not prepared any food at home in the past 7 days Don’t know Refuse to answer 11
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD SOURCE – UNIVERSE: Respondents who indicated they purchased meals from any locations in the previous HS question. PURCHASE LOCATIONS Still thinking about the food PREPARED AT HOME IN THE PAST 7 DAYS, what percentage of food was purchased from each place? FOR FOOD PREPARED AT HOME BY PERCENTAGE Enter a percentage for each source. Sources must add to 100%. HSP_1…6, HSP_8…10 HSP_DK [PROGRAMMER NOTE: Only show locations selected in previous question.] HSP_R [numeric] Supermarket [numeric] Cash & carry (e.g., Costco) [numeric] Convenience / corner shop [numeric] Pharmacy [numeric] Farmer’s market stall or greengrocer [numeric] Ethnic or speciality food shop [numeric] Supermarket delivery (e.g., Ocado) [numeric] Food bank [numeric] [PROGRAMMER: Insert “Some other place” text from previous question] [fill with total] out of 100% Total Don’t know Refuse to answer READY-TO-EAT MEALS UNIVERSE: Respondents who did NOT indicate they ”have not prepared any food at home in the past 7 days” (HS_none not selected) Thinking about the MEALS PREPARED AT HOME in the past 7 days, what percentage was “ready-to-eat” or “ready-meals” (e.g., microwave, frozen or READY packaged meals)? READY_DKR This includes foods like frozen pizza, fish fingers, tinned soup, baking mixes, instant porridge, etc. Enter percentage: _________ [numeric percentage, 0 to 100%] Don’t know Refuse to answer 12
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY BEVERAGE INTAKE DOMAIN QUESTION SOURCE BEVERAGE Next, we’d like to ask you about the drinks you’ve had over the PAST 7 DAYS. FREQUENCY INTRO We’ll be asking you about different categories of drinks. First, we’ll ask you the TOTAL NUMBER OF DRINKS you’ve had in each category. Second, we’ll ask you about your USUAL SIZE OF DRINK in each category. BEVERAGE During the PAST 7 DAYS, HOW MANY DRINKS did you have in each category below? FREQUENCY For example, if you had 2 regular fizzy drinks during the past 7 days, you would enter 2 in that box. QUESTIONNAIRE (BFQ) – NUMBER OF If you had 1 regular fizzy drink EACH day, you would enter 7 in that box. DRINKS BY TYPE ADAPTED FROM [PROGRAMMER NOTE: Responses must be numeric and between 0-100; only allow participant to select 1 of none of the above, DK or R] SEVERAL OTHER PAPER FFQS FOR # OF DRINKS BEVERAGES. [numeric] Fizzy drinks (Coke, Pepsi, 7-up, Sprite, root beer, etc) *Not including diet fizzy drinks BFQ_#_N [numeric] Diet fizzy drinks (Diet Pepsi, Coke Zero, etc.) BFQ_NONE [numeric] 100% fruit or vegetable juice (orange juice, apple juice, etc.) BFQ_DK_N [numeric] Sweetened fruit drinks (lemonade, iced tea, SunnyD, fruit punch/cocktail, etc.) BFQ_R_N [numeric] Low-/no-calorie fruit drinks (diet lemonade, unsweetened iced tea, etc.) [numeric] Tap water [numeric] Plain bottled water [numeric] Sweetened flavoured waters or vitamin waters with calories [numeric] Low-/no-calorie flavoured waters or vitamin waters (Touch of Fruit, Perfectly Clear, etc.) [numeric] Regular sports drinks (Lucozade Sport, Powerade, etc.) [numeric] Low-/no-calorie sports drinks (Lucozade Sport Low Cal, Powerade Zero, etc.) [numeric] Regular energy drinks (Red Bull, Rockstar, Monster, etc.) [numeric] Low-/no-calorie energy drinks (Red Bull Sugarfree, etc.) [numeric] White milk or unsweetened milk alternatives (unsweetened soy, almond, etc.) as a beverage *NOT including milk consumed in cereal, etc. [numeric] Chocolate or flavoured milk (incl. hot chocolate), or sweetened milk alternatives (sweetened soy, almond, etc.) [numeric] Coffee or tea, with milk/cream or sugar [numeric] Coffee or tea, no milk/cream or sugar, with or without artificial sweetener [numeric] Speciality coffees (lattes, mochas, frappucinos, macchiatos, etc.) [numeric] Sweetened smoothies, protein shakes, or drinkable yogurt [numeric] Unsweetened smoothies, protein shakes, or drinkable yogurt [numeric] Beer, cider, lager 13
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY [numeric] Wine (red, white or rose) [numeric] Spirits with mixers, cocktails that have calories (rum & coke, gin & tonic, margarita, etc.) [numeric] Spirits with no mixers or non-caloric mix (shots, whiskey on the rocks, vodka & soda, rum & diet coke, etc.) None of the above Don’t know Refuse to answer BFQ – USUAL SIZE [PROGRAMMER NOTE: For each category that there was at least one drink consumed, ask size question - images should only be shown for beverage categories selected above] ADAPTED FROM For each type of drink, what size did you USUALLY have? SEVERAL OTHER If you had different sizes, select the picture that is closest to the average size. PAPER FFQS FOR BEVERAGES. BFQ_#_SIZE_UK BFQ_#_SIZE_DK_UK BFQ_#_SIZE_R_UK 14
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INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY Don’t know [for each type] Refuse to answer [for each type] FOOD PREPARATION AND FOOD SKILLS DOMAIN QUESTION SOURCE FOOD SHOPPING Do you do most of the food shopping in your household? ROLE Yes USDA ERS EATING & HEALTH MODULE No Share equally with other(s) SHOP Don’t know Refuse to answer CONFIDENCE IN 8 Which, if any, of the following cooking techniques do you feel confident about using? (Select all that apply) COOKING Boiling TECHNIQUES UK NATIONAL DIET Steaming or poaching AND NUTRITION Frying SURVEY (NDNS) Stir frying Grilling TECH_BOIL Oven-baking or roasting TECH_STEAM TECH_FRY Stewing, braising, or casseroling TECH_STIRFRY Microwaving TECH_GRILL None of the above TECH_OVEN Don’t know TECH_STEW TECH_MICRO Refuse to answer 22
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY CONFIDENCE IN Which, if any, of the following foods do you feel confident about cooking? (Select all that apply) COOKING 10 FOODS Red meat UK NATIONAL DIET AND NUTRITION Chicken SURVEY (NDNS) – White fish (cod, haddock) adapted pulses option Oily fish (salmon) Lentils, chickpeas, dry peas, dry beans CCOK_MEAT Dry pasta COOK_CHICK COOK_WFISH Rice COOK_OFISH Potatoes (not chips) COOK_LENTIL Green vegetables (cabbage, spinach, broccoli) COOK_PASTA Root vegetables (carrots, parsnips) COOK_RICE COOK_POTATO None of the above COOK_GREEN Don’t know COOK_ROOT Refuse to answer ABILITY TO PREPARE 4 Would you be able to make the following foods and dishes from beginning to end: TYPES OF DISHES UK NATIONAL DIET AND NUTRITION Convenience foods and ready meals (e.g. frozen pizza, pre-packaged curry & rice) SURVEY (NDNS) A complete meal from ready-made ingredients (e.g. ready-made sauces and pasta to make spaghetti Bolognese) A main dish from basic ingredients (raw potatoes, raw meat, onions etc.), possibly following a recipe (e.g. shepherd’s pie, curry) PREP_CONV A cake or biscuits from basic ingredients (flour, milk, eggs, etc.), possibly following a recipe PREP_READY_INGRED PREP_BASIC_INGRED [Insert dropdown list for each of above] PREP_CAKE No, not at all Yes, with a lot of help Yes, with a little help Yes, with no help at all Don’t know Refuse to answer FREQUENCY OF How often do you prepare a main meal for yourself or others? PREPARING MAIN Never MEALS UK NATIONAL DIET Only for special occasions AND NUTRITION Less than once a week SURVEY (NDNS) One or two days a week Some days (3–4 a week) PREP_FREQ Most days (5–6 a week) Every day Don’t know Refuse to answer 23
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY COOKING SKILLS – Overall, how would you rate your cooking skills? GENERAL Poor SKILL_OVERALL Fair Good Very good Excellent Don’t know Refuse to answer FOOD SECURITY DOMAIN QUESTION SOURCE FOOD SECURITY – These next questions are about the food eaten in your household in the last 12 months, since [current month] of last year and whether you were able to afford INTRO the food you need. USDA HFSM FOOD SECURITY – Which of these statements best describes the food eaten in your household in the last 12 months: HH1 You and other household members always had enough of the kinds of foods you wanted to eat. USDA HFSM You and other household members had enough to eat, but not always the kinds of food you wanted. HH1 Sometimes you and other household members did not have enough to eat. Often you and other household members didn't have enough to eat. Don’t know Refuse to answer FOOD SECURITY – HH Now you will see several statements that may be used to describe the food situation for a household. Please indicate if the statement was often true, sometimes INTRO true, or never true for you and other household members IN THE LAST 12 MONTHS – that is since last [name of current month]. FOOD SECURITY – You and other household members worried that food would run out before you got money to buy more. HH2 Often true USDA HFSM Sometimes true HH2 Never true Don’t know Refuse to answer FOOD SECURITY – The food that you and other household members bought just didn't last, and there wasn't any money to get more. HH3 Often true USDA HFSM Sometimes true HH3 Never true Don’t know Refuse to answer 24
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD SECURITY – You and other household members couldn't afford to eat balanced meals. HH4 Often true USDA HFSM Sometimes true HH4 Never true Don’t know Refuse to answer FIRST LEVEL If affirmative response to one or more of HH1-HH4 (i.e., HH1=3 or 4, or HH2-HH4=1 (“often true") or 2 ("sometimes true"), then continue to AD1; otherwise, if children under age 18 are present in SCREENING the household (child_home>0), skip to CH1; otherwise skip to End of Food Security Module. FOOD SECURITY – UNIVERSE: Respondents who passed first level screening AD1 In the last 12 months, since last (name of current month), did you or other adults in your household ever cut the size of your meals or skip meals because there USDA HFSM wasn't enough money for food? AD1 Yes No Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: AD1=1 (yes) AD1a How often did this happen? USDA HFSM Almost every month AD1A Some months but not every month Only 1 or 2 months Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: Respondents who passed first level screening AD2 In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money for food? USDA HFSM Yes AD2 No Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: Respondents who passed first level screening AD3 In the last 12 months, were you ever hungry but didn't eat because there wasn't enough money for food? USDA HFSM Yes AD3 No Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: Respondents who passed first level screening AD4 In the last 12 months, did you lose weight because there wasn't enough money for food? USDA HFSM Yes AD4 No Don’t know Refuse to answer SECOND LEVEL If affirmative response to one or more of AD1-AD4, then continue to AD5; otherwise, if children under age 18 are present in the household (child_home >0), skip to CH1, otherwise skip to End of SCREENING Food Security Module. 25
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD SECURITY – UNIVERSE: Respondents who passed second level screening AD5 In the last 12 months, did you or other adults in your household ever not eat for a whole day because there wasn't enough money for food? USDA HFSM Yes AD5 No Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: AD5=1 (yes) AD5a How often did this happen? USDA HFSM Almost every month AD5A Some months but not every month Only 1 or 2 months Don’t know Refuse to answer CHILD LEVEL 1 Households with no child under age 18 (child_home=0, DK/R), skip to End of Food Security Module. SCREENING FOOD SECURITY UNIVERSE: At least 1 child 0) CHILD INTRO Now you will see several statements that people have made about the food situation of their children. FOOD SECURITY – UNIVERSE: At least 1 child 0) CH1 You or other adults in your household relied on only a few kinds of low-cost food to feed the children because you were running out of money to buy food. USDA HFSM Often true CH1 Sometimes true Never true Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: At least 1 child 0) CH2 You or other adults in your household couldn't feed the children a balanced meal, because you couldn't afford that. USDA HFSM Often true CH2 Sometimes true Never true Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: At least 1 child 0) CH3 The children were not eating enough because you or other adults in your household just couldn't afford enough food. USDA HFSM Often true CH3 Sometimes true Never true Don’t know Refuse to answer CHILD LEVEL 2 If affirmative response to one or more of CH1-CH3 (i.e., CH1-CH3= 1 ("often true") or 2 ("sometimes true")), then continue to CH4; otherwise skip to End of Food Security Module. SCREENING 26
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD SECURITY – UNIVERSE: Respondents who passed child level 2 screening CH4 In the last 12 months, since last [current month] did you ever cut the size of any of the children’s meals because there wasn't enough money for food? USDA HFSM Yes CH4 No Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: Respondents who passed child level 2 screening CH5 In the last 12 months, did any of the children ever skip meals because there wasn't enough money for food? USDA HFSM Yes CH5 No Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: CH5=1 (yes) CH5a How often did this happen? USDA HFSM Almost every month CH5A Some months but not every month Only 1 or 2 months Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: Respondents who passed child level 2 screening CH6 In the last 12 months, were the children ever hungry but you just couldn't afford more food? USDA HFSM Yes CH6 No Don’t know Refuse to answer FOOD SECURITY – UNIVERSE: Respondents who passed child level 2 screening CH7 In the last 12 months, did any of the children ever not eat for a whole day because there wasn't enough money for food? USDA HFSM Yes CH7 No Don’t know Refuse to answer 27
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY DIETARY PATTERNS AND EFFORTS DOMAIN QUESTION SOURCE EATING Would you describe yourself as: (Select all that apply) RESTRICTIONS Vegetarian TNT (HEAVILY ADAPTED) Vegan Pescatarian RESTRICT_[TYPE] Following a religious practice for eating Please specify: [open-ended] RESTRICT_NONE None of the above RESTRICT_DK RESTRICT_R Don’t know RESTRICT_RELTEXT Refuse to answer DIET MODIFICATION Have you made an effort to consume more or less of the following in the past year? EFFORTS Consume Consume No Don’t Refuse TNT LESS MORE effort Know to made answer EFFORT_[TYPE] EFFORT_OTEXT Calories Fat Trans fat Protein Fibre Sugar/Added sugar Salt/sodium Fruit and vegetables Whole grains Dairy products All meats Red meat (e.g., beef, pork) only Alcohol ‘Artificial’ low- calorie sweeteners like aspartame ‘Natural’ low-calorie sweeteners like stevia Processed foods Genetically- modified organisms (GMO) 28
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY WEIGHT LOSS EFFORTS, BODY PERCEPTIONS, AND WEIGHT STIGMA DOMAIN QUESTION SOURCE PERCEIVED BODY SIZE Which body is most like your own body? UNIVERSE: gender= 2 (woman) or 4 (trans female/trans woman) K. MAXIMOVA ET AL. THE ROLE OF UNDERESTIMATING BODY SIZE FOR SELF- ESTEEM AND SELF- EFFICACY AMONG GRADE FIVE CHILDREN IN CANADA. ANNALS OF EPIDEMIOLOGY 2015; 25:753-759. UNIVERSE: gender= 1 (man) or 3 (trans male/trans man) IMAGES FROM (COLLINS, 1991) WT_BODY_F WT_BODY_F_DK WT_BODY_F_R WT_BODY_M WT_BODY_M_DK WT_BODY_M_R Don’t know Refuse to answer PERCEIVED WEIGHT Do you consider yourself to be... CCHS Obese WT_PERCEIVE Overweight Underweight Just about right Don’t know Refuse to answer WEIGHT BEHAVIOUR During the past 12 months have you tried to…. Adapted from: SELECT ALL THAT APPLY NHANES, 2009-2010 Lose weight WT_TRY_LOSS Gain weight WT_TRY_GAIN Stay the same weight WT_TRY _SAME I have not tried to do anything about my weight WT_TRY_NOT Don’t know WT_TRY_DK WT_TRY_R Refuse to answer 29
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY WEIGHT LOSS UNIVERSE: Tried to lose weight, but did not try to stay the same weight (wt_try_loss=1 and wt_try_same=0) METHODS How did you try to lose weight in the past 12 months? NHANES DIET HISTORY QUESTIONNAIRE UNIVERSE: Did not try to lose weight, but tried to stay the same weight (wt_try_loss=0 and wt_try_same=1) (ADAPTED) How did you try to ‘stay the same weight’ in the past 12 months? WT_LOSS_[TYPE] WT_LOSS_NONE UNIVERSE: Tried to lose weight and tried to stay the same weight (wt_try_loss=1 and wt_try_same=1) WT_LOSS_DK How did you try to lose weight or ‘stay the same weight’ in the past 12 months? WT_LOSS_R Skipped meals or fasted WT_LOSS_DIETTEXT Ate less food (amount) WT_LOSS_OTEXT Ate less fat Ate less sugar or sweets WT_SAME_[TYPE] Ate fewer carbohydrates WT_SAME_NONE Ate more fruits, vegetables or salads WT_SAME_DK WT_SAME_R Switched to foods with lower calories WT_SAME_DIETTEXT Followed a special diet or weight loss program (e.g., Atkins, Weight Watchers.) Please specify: [open-ended] WT_SAME_OTEXT Used a liquid diet formula such as Slimfast or Optifast Did a cleanse or detox diet WT_LOSS_SAME_[TYP E] Exercised WT_LOSS_SAME_NON Drank a lot of water E Got help from a health professional WT_LOSS_SAME_DK Took diet pills prescribed by a doctor WT_LOSS_SAME_R WT_LOSS_SAME_DIET Took other pills, medicines, herbs, or supplements not needing a prescription TEXT Took laxatives or vomited WT_LOSS_SAME_OTE Started to smoke or began to smoke again XT Other Please specify: [open-ended] None of the above Don’t know Refuse to answer EAT-3 BEHAVIOURAL In the past 3 months, how often have you: ITEMS … gone on eating binges? (Eating a large amount of food while feeling out of control). HAINES J, ZIYADEH NJ, FRANKO DL, … made yourself sick (vomited) to control your weight? MCDONALND J, Never MOND JM, AUSTIN SB. Less than 1 time a month SCREENING HIGH 1 to 3 times a month SCHOOL STUDENTS FOR EATING Once a week DISORDERS: VALIDITY 2 to 6 times a week OF BRIEF BEHAVIORAL Once a day AND ATTITUDINAL More than once a day MEASURES. JOURNAL OF SCHOOL HEALTH, Don’t know 2011; 81(9):530-535. Refuse to answer EAT3_BINGE EAT3_VOMIT 30
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY EAT-3 ATTITUDINAL I am preoccupied with a desire to be thinner. ITEM Always HAINES J, ZIYADEH NJ, FRANKO DL, Usually MCDONALND J, Often MOND JM, AUSTIN SB. Sometimes SCREENING HIGH Rarely SCHOOL STUDENTS FOR EATING Never DISORDERS: VALIDITY Don’t know OF BRIEF BEHAVIORAL Refuse to answer AND ATTITUDINAL MEASURES. JOURNAL OF SCHOOL HEALTH, 2011; 81(9):530-535. EAT3_THIN WEIGHT BIAS I worry about becoming fat. ONE ITEM (OF 3) Strongly disagree FROM THE FEAR OF FAT SUBSCALE OF THE Disagree ANTI-FAT ATTITUDES Neutral QUESTIONNAIRE Agree [PUHL RM, LATNER JL, Strongly agree KING K, LUEDICKE J. WEIGHT BIAS AMONG Don’t know PROFESSIONALS WHO Refuse to answer TREAT EATING DISORDERS: ASSOCIATIONS WITH ATTITUDES ABOUT TREATMENT AND PERCEPTIONS OF PATIENT OUTCOMES. INT J EATING DISORD 2014; 47: 65–75.] WT_BIAS 31
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY SUGARY DRINKS DOMAIN QUESTION SOURCE POP PERCEIVED In your opinion, how unhealthy or healthy is this type of drink? HEALTHINESS SSB_HLTH_POP Very unhealthy Unhealthy A little unhealthy Neither unhealthy nor healthy A little healthy Healthy Very healthy Don’t know Refuse to answer POP ACCEPTABLE Imagine that you have a 10-year old child. Is it okay for them to have this type of drink… FREQUENCY FOR CHILDREN SSB_CHILD_POP Never Once per month A few times per month Once per week A few times per week Once per day As often as they would like Don’t know Refuse to answer 32
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY SSB PERCEPTIONS - [PROGRAMMER NOTE: Randomize each respondent to view one beverage and answer the following set of 3 questions with the same beverage image on screen for each question.] CONDITION Diet fizzy drinks 100% juice SSB_CONDITION Energy drink Water Speciality coffee Sports drink Chocolate milk Iced tea SSB PERCEIVED In your opinion, how unhealthy or healthy is this type of drink? HEALTHINESS [show image with mL label] SSB_HLTH_[TYPE] Very unhealthy Unhealthy A little unhealthy Neither unhealthy nor healthy A little healthy Healthy Very healthy Don’t know Refuse to answer SSB ACCEPTABLE Imagine that you have a 10-year old child. Is it okay for them to have this type of drink… FREQUENCY FOR [show image with mL label] CHILDREN Never SSB_CHILD_[TYPE] Once per month A few times per month Once per week A few times per week Once per day As often as they would like Don’t know Refuse to answer 33
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY SSB SUGAR AMOUNT A 500 mL bottle of ‘regular’ Coke has 53 grams of sugar. SSB_SUGAR_[TYPE] How much sugar do you think the following beverage contains? [show image with mL label] Enter number of grams: ______ Don’t know Refuse to answer SSB DEFINITION The next few questions ask about SUGAR AND SUGARY DRINKS. Sugary drinks are drinks that contain added sugar, like non-diet fizzy drinks, fruit drinks, sports drinks, energy drinks, chocolate milk, and speciality coffees that have added sugar. SSB SELF Is the amount of sugary drinks you typically have in a week… CONSUMPTION A very unhealthy amount SSB_SELF An unhealthy amount Neither unhealthy nor healthy amount A healthy amount A very healthy amount Don’t know Refuse to answer SSB SOCIAL NORMS – People important to me TRY NOT to eat foods high in SUGAR. Q1 Strongly agree SSB_NORMS1 Agree Neither agree nor disagree Disagree Strongly disagree Don’t know Refuse to answer SSB SOCIAL NORMS – People important to me THINK I SHOULD NOT eat foods high in SUGAR. Q2 Strongly agree SSB_NORMS2 Agree Neither agree nor disagree Disagree Strongly disagree Don’t know Refuse to answer SSB SOCIAL NORMS – People important to me TRY NOT to drink SUGARY DRINKS. Q3 Strongly agree SSB_NORMS3 Agree Neither agree nor disagree Disagree Strongly disagree Don’t know Refuse to answer 34
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY SSB SOCIAL NORMS – People important to me THINK I SHOULD NOT drink SUGARY DRINKS. Q4 Strongly agree SSB_NORMS4 Agree Neither agree nor disagree Disagree Strongly disagree Don’t know Refuse to answer PUBLIC TRUST Please tell us whether you agree or disagree with the following: PT_HE_SUGARY_DRINK S I trust messages from health experts on sugary drinks. PT_HE_SUGAR I trust messages from health experts on sugar. [UNIVERSE: UK only] PT_HE_AS I trust messages from health experts on artificial sweeteners. [UNIVERSE: UK only] PT_IND_SUGARY_DRIN I trust messages from the food and beverage industry on sugary drinks. KS PT_IND_SUGAR I trust messages from the food and beverage industry on sugar. [UNIVERSE: UK only] PT_IND_AS I trust messages from the food and beverage industry on artificial sweeteners. [UNIVERSE: UK only] PT_TREASURY I trust the Treasury to use the revenue from the sugary drinks tax to fund primary school programmes. [UNIVERSE: UK only] PT_PRODUCERS I trust soft drinks producers and importers in the UK to maximise the healthfulness of their soft drinks. [UNIVERSE: UK only] [Insert dropdown list for each of above] Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Don’t know Refuse to answer SUGAR ATTITUDES UNIVERSE: UK only Please tell us whether you agree or disagree with the following: SF_TASTE_GOOD SF_HEALTHY SF_SHOULD_NOT Sugary foods taste good SF_TRY_NOT High sugar foods are healthy SF_EAT_A_LOT I should not eat high sugar foods In our household, we try not to eat foods high in sugar I eat a lot of high sugar foods [Insert dropdown list for each of above] Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree 35
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY Don’t know Refuse to answer SSB ATTITUDES UNIVERSE: UK only Please tell us whether you agree or disagree with the following: SD_TASTE_GOOD SD_HEALTHY SD_SHOULD_NOT Sugary drinks taste good SD_TRY_NOT High sugar drinks are healthy SD_DRINK_A_LOT I should not drink sugary drinks In our household, we try not to drink sugary drinks I consume a lot of sugary drinks [Insert dropdown list for each of above] Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Don’t know Refuse to answer SUGAR KNOWLEDGE Please rate if you feel the following are true or false: SF_OBESITY SF_DIABETES Eating food high in SUGAR increases the risk of obesity. SF_TOOTH Eating food high in SUGAR increases the risk of diabetes. Eating food high in SUGAR increases the risk of tooth decay. SD_OBESITY SD_DIABETES SD_TOOTH Frequently drinking SUGARY DRINKS increases the risk of obesity. Frequently drinking SUGARY DRINKS increases the risk of diabetes. TAX_RED_SUGAR Frequently drinking SUGARY DRINKS increases the risk of tooth decay. TAX_INCR_PRICE UNIVERSE: UK only The sugary drink tax in the UK is intended to encourage industry to reduce sugar in their products. UNIVERSE: UK only The sugary drink tax in the UK is intended to increase the price of soft drinks. [Insert dropdown list for each of above] True False Don’t know Refuse to answer 36
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY NUTRITION KNOWLEDGE DOMAIN QUESTION SOURCE SELF-REPORTED How would you rate your nutrition knowledge? NUTRITION Not at all knowledgeable KNOWLEDGE CFDR, OTTAWA, A little knowledgeable ETC. Somewhat knowledgeable Very knowledgeable NUT_KNOW Extremely knowledgeable Don’t know Refuse to answer SOURCES OF NUTRITION INFORMATION DOMAIN QUESTION SOURCE SOURCES OF In the past 12 months, did you get information on food or nutrition from any of the following sources? (Select all that apply) NUTRITION INFO Health professional (e.g., family doctor, nurse, or dietitian) CCHS Food Guide module and TNT Alternative health practitioner (e.g., chiropractor, naturopath, homeopath, holistic nutritionist) integrated content Health association materials or website (e.g., British Heart Foundation, Cancer Research UK, British Nutrition Foundation) (adapted to be for 12 Fitness programs / personal trainer months rather than 6) Weight loss programs (such as Weight Watchers) INFO_[TYPE] Your family, friends, or colleagues INFO_NONE The Eatwell Plate INFO_DK Government / health agency materials, websites or apps including NHS Choices INFO_R Food company materials, advertisements, websites or apps INFO_APPTEXT INFO_OTEXT Nutrition Information Tables on food products Food product labels Supermarkets Magazines, newspapers or books TV or radio General research on the internet Social media or blogs (e.g., Facebook, Twitter) Celebrities (e.g., Gwyneth Paltrow, Food Babe) Mobile app Which app? [open-ended] Other Please specify: [open-ended] None of the above Don’t know Refuse to answer 37
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY PUBLIC EDUCATON Do you remember seeing any educational messages or campaigns on healthy eating from the government or health authorities in the past 12 months? Yes PUBLIC_ED1 No Don’t know Refuse to answer PUBLIC EDUCATON – Can you briefly describe the message or campaign? DESCRIPTION [OPEN TEXT FIELD] PUBLIC_ED2 DOCTOR ADVICE Has a doctor ever advised you to do any of the following? (Select all that apply) Lose weight DOCADVICE_[TYPE] DOCADVICE_NONE Reduce sodium or salt intake DOCADVICE_DK Reduce cholesterol in your diet DOCADVICE_R Reduce sugary drinks DOCADVICE_OTEXT Eat more fruits and vegetables Other diet advice (please specify): None of the above Don’t know Refuse to answer FOOD PACKAGING & LABELLING DOMAIN QUESTION SOURCE NUTRITION INFO IN In your opinion, is nutrition information easy or hard to find in supermarkets? GROCERY STORES Very hard to find INFO_GROCERY Hard to find Neither hard nor easy Easy to find Very easy to find Don’t know Refuse to answer 38
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY LABEL AWARENESS We would now like to ask you some questions about food labels on products. LABEL_AWARE_UK How often have you seen this type of food label on packages or in stores? Never Rarely Sometimes Often All the time Don’t know Refuse to answer LABEL USE UNIVERSE: LABEL_AWARE_UK = ‘rarely’, ‘sometimes’,‘often’, or ‘all the time’ How often do you use this type of food label when deciding to buy a food product? LABEL_USE_UK Never Rarely Sometimes Often All the time Don’t know Refuse to answer LABEL Do you find this information… UNDERSTANDING LABEL_UNDERSTAND_ UK Very hard to understand Hard to understand Neither hard nor easy Easy to understand Very easy to understand Don’t know Refuse to answer 39
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY NFT AWARENESS We would now like to ask you some questions about food labels on products. NFT_AWARE_UK How often have you seen this type of food label on packages or in stores? Never Rarely Sometimes Often All the time Don’t know Refuse to answer NFT USE UNIVERSE: NFT_AWARE_UK = ‘rarely’, ‘sometimes’,‘often’, or ‘all the time’ How often do you use this type of food label when deciding to buy a food product? NFT_USE_UK Never Rarely Sometimes Often All the time Don’t know Refuse to answer 40
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY NFT Do you find this information… UNDERSTANDING NFT_UNDERSTAND_U K Very hard to understand Hard to understand Neither hard nor easy Easy to understand Very easy to understand Don’t know Refuse to answer NFT INFLUENCE Overall, how much do food labels influence what you eat? No influence at all LABEL_OVERALL A little influence Some influence A lot of influence Very strong influence Don’t know Refuse to answer 41
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD PRODUCTS – [PROGRAMMER NOTE: Randomize order of 13 food products, and record order of randomization.] PERCEIVED HEALTH Overall, how healthy is this food product? Please answer on a scale from 0 to 10, where 0 = Not at all healthy, and 10 = Extremely healthy. HLTH1…13 0 1 2 3 4 5 6 7 8 9 10 Not at all healthy Extremely healthy Don’t know Refuse to answer 42
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY WARNING LABELS PROGRAMMER NOTE: Randomly assign to 1 of 6 label conditions: Control (no label) WARN_CONTROL Yellow text warning WARN_YELLOW Health star rating WARN_STAR WARN_CHILE Chilean warning WARN_GDA Guideline Daily Amount (GDA) WARN_TRAFFIC Traffic light In your opinion, is this product… Very unhealthy Unhealthy A little unhealthy Neither unhealthy nor healthy A little healthy Healthy Very healthy Don’t know Refuse to answer 43
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY RETAIL ENVIRONMENT DOMAIN QUESTION SOURCE SUPERMARKET [PROGRAMMER NOTE: SHOW 2 RANDOMLY SELECTED ITEMS TO EACH PARTICIPANT; RANDOMIZE ORDER OF ITEM PRESENTATION. HIDE BACK BUTTON. USE TABLE FORMAT.] POLICIES Would you support or oppose the following practices in supermarkets … Fewer end-of-aisle displays containing unhealthy foods or soft drinks POL_AISLE Checkouts with only healthy products (e.g., no soft drinks, chocolate, sweets) POL_CAL_CHECK POL_SHELF More shelf space for fresh and healthier foods such as fruits and vegetables Support Neutral Oppose Don’t know Refuse to answer HOME RETAIL [PROGRAMMER NOTE: Hide back button; use table format] Are the following food or drinks sold in stores you can get to WITHIN 5 MINUTES FROM YOUR HOME, using your usual mode of transportation (e.g., walk, HOME_JUNK drive, or public transport)? HOME _FV HOME _HEALTHY Junk food HOME _SSB Fresh fruit or vegetables HOME_WATER Other healthy snacks Sugary drinks Clean drinking water Not available to buy / Available to buy / Don’t know / Refuse to answer SCHOOL RETAIL UNIVERSE: Full-time or part-time student (student=2 or 3) [PROGRAMMER NOTE: Use table format] SCHOOL_[TYPE]_NA Are the following food or drinks available at your SCHOOL/COLLEGE/UNIVERSITY? SCHOOL_[TYPE]_FREE Do not include items you bring from home. SCHOOL_[TYPE]_BUY SCHOOL_[TYPE]_DK Junk food SCHOOL_[TYPE]_R Fresh fruit or vegetables Other healthy snacks Sugary drinks Clean drinking water Not available / Available for free / Available to buy / Don’t Know / Refuse to answer WORK RETAIL UNIVERSE: Main activity was working at a paid job or business, or vacation (from paid work) (occup=1 or 2) [PROGRAMMER NOTE: Use table format] WORK_[TYPE]_NA Are the following food or drinks available at your WORKPLACE? WORK_[TYPE]_FREE Do not include items you bring from home. WORK_[TYPE]_BUY WORK_[TYPE]_DK Junk food WORK_[TYPE]_R Fresh fruit or vegetables 44
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY Other healthy snacks Sugary drinks Clean drinking water Not available / Available for free / Available to buy / Don’t Know / Refuse to answer MENU LABELLING DOMAIN QUESTION SOURCE LAST RESTAURANT When was the last time you visited a restaurant (including a fast-food outlet or coffee shop)? VISIT Within the last 24 hours FCMS Within the last 7 days REST_VISIT Within the last month Within the last 3 months Within the last 6 months Longer than 6 months ago Don’t know Refuse to answer MENU LABELLING – UNIVERSE: Visited restaurant within last 6 months (rest_visit=1-5) NOTICING The last time you visited a restaurant, did you notice any nutrition information? FCMS (ADAPTED) Yes No REST_INFO Don’t know Refuse to answer MENU LABELLING – UNIVERSE: Noticed nutrition info (rest_info=yes) NOTICING LOCATION Where was this information located? (Select all that apply) On the menu/menu board REST_INFO_[TYPE] REST_INFO_DK On a poster or sign REST_INFO_R Next to a food item REST_INFO_OTEXT On the item packaging/wrapper On the tray liner On a napkin In a pamphlet or brochure On a computer screen / At a kiosk Other Please specify: [open-ended] Don’t know Refuse to answer 45
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY MENU LABELLING – UNIVERSE: Noticed nutrition info (rest_info=yes) ORDER Did the nutrition information influence what you ordered? INFLUENCE Yes FCMS No Don’t know REST_INFO_INFL Refuse to answer MENU LABELLING – UNIVERSE: Visited restaurant within last 6 months (rest_visit=1-5) IMPACT In the past 6 months, have you done any of the following because of nutrition information in restaurants? (Select all that apply) FCMS Ordered something different Eaten less of the food you ordered REST_ACT_[TYPE] REST_ACT_NONE Changed which restaurants you visit REST_ACT_DK Eaten at restaurants less often REST_ACT_R None of the above Don’t know Refuse to answer FOOD GUIDE / DIETARY RECOMMENDATIONS DOMAIN QUESTION SOURCE FOOD GUIDE – LAST When was the last time you looked at the Eatwell Plate, if ever? USE In the last month OTTAWA AND CFDR (ADAPTED TIME In the last 6 months ANCHORS) In the last year More than a year ago FG_LOOK Never Don’t know Refuse to answer FOOD GUIDE – USE UNIVERSE: Ever looked at food guide (fg_look ≠ 5) CCHS FOOD GUIDE Have you ever used information from the Eatwell Plate... (Select all that apply) MODULE (ADAPTED To choose foods RESPONSE OPTIONS TO SIMPLIFY To determine how much you need to eat every day YOU/HOUSEHOLD) To plan meals or to help with food shopping To assess how well you are eating FG_USE_[TYPE] To manage your weight FG_USE_NONE FG_USE_DK To help make healthy choices when eating away from home FG_USE_R Other Please specify: [open-ended] FG_USE_OTEXT None of the above Don’t know Refuse to answer 46
INTERNATIONAL FOOD POLICY STUDY 2018 – UNITED KINGDOM SURVEY FOOD MARKETING DOMAIN QUESTION SOURCE EXPOSURE TO In the last 30 days, have you seen or heard any advertisements or promotions for ‘unhealthy foods’ in the following places? (Select all that apply) UNHEALTHY FOOD MARKETING - LOCATION Unhealthy foods include processed foods high in sugar, salt, or saturated fat, such as fizzy drinks, fast food, crisps, sugary cereals, cookies and chocolate bars. MKTG_LOC_[TYPE] TV MKTG_LOC_NONE Radio MKTG_LOC_DK MKTG_LOC_R Online / internet MKTG_LOC_OTEXT Mobile app / video game Social media (e.g., Twitter, Facebook, Instagram) In a text message Magazine or newspaper Billboard or outdoor sign (e.g., posters) On buses, bus stops and other public transport In films or at the cinema At school/college/university Signs or displays in supermarkets, convenience shops or restaurants At a recreation/community centre Sports event, concert or community event Giveaways, samples or special offers Other Please specify: [open-ended] I haven’t seen any advertising or promotions for unhealthy food in the last 30 days Don’t know Refuse to answer EXPOSURE TO UNIVERSE: UK only. MARKETING – In the last 30 days, have you seen or heard any advertisements or promotions for SUGARY DRINKS in the following places? (Select all that apply) SUGARY DRINKS MKTG_SSB_LOC_[TYPE SUGARY DRINKS are drinks that contain added sugar, like fizzy drinks, fruit drinks, sports drinks, energy drinks, chocolate milk, and speciality coffees that have ] added sugar. MKTG_SSB_ LOC_NONE TV MKTG_SSB_ LOC_DK MKTG_SSB_ LOC_R Radio MKTG_SSB_ Online / internet LOC_OTEXT Mobile app / video game Social media (e.g., Twitter, Facebook, Instagram) In a text message Magazine or newspaper Billboard or outdoor sign (e.g., posters) 47
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